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  • (form 1) - Referral_registration Form Hrif - Ccshrif.org - Ccshrif

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REFERRAL/REGISTRATION FORM HIGH RISK INFANT FOLLOW-UP QUALITY OF CARE INITIATIVE *Required Field Must Complete / *REFERRAL DATE: / HRIF I.D. # (MM/DD/YYYY) HOSPITAL/CENTER INFORMATION (Optional and.

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Related content

HRIF-QCI-Reporting System Update - CA.gov
... Program when the infant: CCS HRIF PROGRAM MEDICAL ELIGIBILITY CRITERIA. HRIF Program...
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HRIF Numbered Letter - UCLA Center for Health...
Nov 22, 2013 — all State CCS Program Staff on the CCS HRIF Program. This letter ... (1)...
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pH less than 7.0 on an umbilical blood sample or a blood gas obtained within one hour of life) or an Apgar score of less than or equal to three at five minutes or an Apgar score less than 5 at 10 minutes.

What are high-risk infants? Doctors refer to babies who are born prematurely or who are sick when they are born as high-risk infants. This means they have a high risk of short and long-term health and developmental challenges.

If an infant has ever been diagnosed with suspected encephalopathy or suspected perinatal asphyxia or hypoxic ischemic encephalopathy (HIE) and transferred in within 28 days of life, this infant is eligible for CPQCC.

​​​​​​​High Risk Infant Follow-Up The California Children's Services (CCS) High Risk Infant Follow-Up (HRIF) program was established to identify infants who might develop CCS-eligible conditions after discharge from a CCS-approved Neonatal Intensive Care Unit (NICU).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232